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YEAR

CALIFORNIA FORM

Real Estate Withholding Installment Sale Agreement

2008

593-I

(This form can only be completed by the buyer. This is not a remittance document.)

Part I – Buyer’s Information

Return this form to your real estate escrow person.

Name

SSN or ITIN

Spouse’s/RDP’s Name (if jointly purchased)

Spouse’s/RDP’s SSN or ITIN (if jointly purchased)

Address (including apt./suite, room, PO Box, or PMB no.)

 FEIN  CA Corp. no.

City

State ZIP Code

Daytime telephone number

( )

Property address (if no street address, provide parcel number and county)

Part II – Seller’s Information

Name

SSN or ITIN

Spouse’s/RDP’s Name (if jointly purchased)

Spouse’s/RDP’s SSN or ITIN (if jointly owned)

 FEIN  CA Corp. no.

Address (including apt./suite, room, PO Box, or PMB no.)

City

State ZIP Code

Installment Withholding Percent

Apply this percent

to all installment

____ ____ . ____ ____%

payments.

Part III – Installment Agreement

Attach to Form 593-I a copy of the signed promissory note (showing the installment payment requirement). If the seller has elected and certified the

Optional Gain on Sale withholding amount, also attach an executed copy of seller’s certification of Form 593, Real Estate Withholding Tax Statement, to

Form 593-I.

Part IV – Buyer’s Agreement to Withhold (Be sure to read the “Buyer” information below before you sign.)

Under penalties of perjury, I hereby agree to withhold on the principal portion of each installment payment for the above shown California real property

to the above seller at the rate of 3

% or the Optional Gain on Sale withholding percentage, as specified by the seller on Form 593, of the principal

portion of each installment payment. I will complete Form 593, Real Estate Withholding Tax Statement, for the principal portion of each installment

payment and send one copy of each to the Franchise Tax Board along with the withholding payment, and give one copy of Form 593 to the seller. I will

send each withholding payment to the Franchise Tax Board by the 20th day of the month following the month of the installment payment. If the terms

of the installment sale, promissory note, or payment schedule change, I will promptly inform the Franchise Tax Board. I understand that the Franchise

Tax Board may review relevant escrow documents to ensure withholding compliance. I also understand that completing and signing this form will

subject me to withholding penalties if I do not withhold on the principal portion of each installment payment and do not send the withholding along with

Form 593 to the Franchise Tax Board by the due date, or if I do not send one copy of Form 593 to the seller by the due date.

Buyer’s name

__________________________________________________________________

(if the buyer is not an individual, buyer’s agent’s name and title) (type or print)

Buyer’s signature _____________________________________________________________________________Date: ______________________

Buyer’s spouse’s/RDP’s name (if on title) _____________________________________________________________________________________

Buyer’s spouse’s/RDP’s signature (if applicable) _____________________________________________________ Date: _____________________

Buyer:

If you sign this agreement, make a copy of this form. Make sure you copy both sides so you will have the instructions for withholding on

subsequent payments. Give the original along with copies of the promissory note and seller’s certified Form 593 to your real estate escrow

person who should mail them in to the Franchise Tax Board. Your real estate escrow person will withhold on the first installment payment.

You must withhold on all subsequent installment payments (including payoff or balloon payments). Do not complete this form unless you

are willing to either withhold 3 1/3% or the Optional Gain on Sale withholding percentage, as specified by the seller on Form 593, for each

installment payment. Complete Form 593, and mail the documents and payment to the FTB for the principal portion of each installment

payment.

This agreement is between the buyer and the Franchise Tax Board. Neither the seller nor the buyer may modify the terms of the agreement.

If you choose not to sign this agreement, instruct your real estate escrow person to withhold either the full 3

% of the total sales price or the

Optional Gain on Sale withholding amount certified by the seller on Form 593. You will not be required to withhold on subsequent installment

payments.

Real Estate Escrow Person: If this form is completed and signed, withhold only on the first installment payment in escrow. Make a copy of this form

for your records. Attach the original Form 593-I, a copy of the promissory note, and seller’s certified Form 593, and send

to the Franchise Tax Board with the withholding payment.

Form 593-

2007

7141083

For Privacy Notice, get form FTB 1131.

California Form 593-I Draft - Real Estate Withholding Installment Sale Agreement - 2008 Page 2

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